Individual
CHRISTY VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 MONTROSE DR, SOUTH CHARLESTON, WV 25303-2627
(304) 419-3227
Mailing address
909 MONTROSE DR, SOUTH CHARLESTON, WV 25303-2627
(304) 419-3227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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